MAYA BERDZENISHVILI (M.D.) – Pulmonary Disease Physician, NPI 1568557098

MAYA BERDZENISHVILI (M.D.) is a healthcare provider. based in Boston, Massachusetts. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 216073 (MA). The NPI Number for MAYA BERDZENISHVILI (M.D.) is 1568557098

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
MAYA BERDZENISHVILI (M.D.)
NPI
1568557098
Phone
(617) 670-1054
Address
ONE EMERSON PLACE
Enumeration Date
3 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7817924136
Graduation Year
1986 (40 years ago)
PAC ID
2668454901
Group Practice PAC ID
7113029257
Professional Enrollment ID
I20040602000325
Address ID
MA021902432WE55XXXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

7,722 INTERNAL MEDICINE in MA

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Provider Addresses for MAYA BERDZENISHVILI (M.D.)

  • One Emerson Place, 1, Emerson Place, West End, Boston, Suffolk County, Massachusetts, 02114, United States

    5Q

    BOSTON, MA 02114

    Phone: (617) 670-1054

    Type: Mailing

  • Spaulding Hospital Cambridge, 1575, Cambridge Street, Inman Square, Cambridge, Middlesex County, Massachusetts, 02138, United States

    CAMBRIDGE, MA 02138

    Phone: (617) 876-4344

    Fax: (617) 234-7913

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040602000325IInternal MedicineMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes442244$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes438362$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes261146$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes221142$0
99239Hospital discharge day management, more than 30 minutes9999$0
View full utilization report →

Insurance plans in this area (ZIP 02114)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113029257View full group profile
NameSpecialtyState
Pain Management, AnesthesiologyMA
-MA
Physician AssistantMA
General SurgeryNJ
U R O L O G YMA
Internal MedicineME
Physician AssistantIN
O B S T E T R I C S/ G Y N E C O L O G YMA
Physician AssistantMA
Emergency MedicineMA

Reviews

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Frequently asked questions

Does MAYA BERDZENISHVILI (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MAYA BERDZENISHVILI (M.D.) uses 1568557098.
Does the file indicate MAYA BERDZENISHVILI (M.D.) is practicing under active NPI?
Directory data currently reports MAYA BERDZENISHVILI (M.D.) as active.
What taxonomy line describes MAYA BERDZENISHVILI (M.D.)?
For research purposes, treat MAYA BERDZENISHVILI (M.D.) as Pulmonary Disease Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does MAYA BERDZENISHVILI (M.D.) serve?
MAYA BERDZENISHVILI (M.D.)'s listing highlights Boston, Massachusetts; more addresses can appear in NPPES.
Why does MAYA BERDZENISHVILI (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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